A lifeline text-based mental health support service for people in the West Midlands has marked its first anniversary, having handled more than 10,000 conversations with individuals in crisis. The service, which operates 24 hours a day, seven days a week, allows residents to text a trained volunteer or counsellor when they need immediate emotional support, without the need for a phone call or face-to-face appointment.
How the Service Works
The service is run by Shout, a UK-wide mental health text line, in partnership with the NHS in the West Midlands. Users can text the word 'SHOUT' to 85258 to be connected with a trained crisis volunteer. The service is free, confidential, and available to anyone of any age, though it is particularly aimed at adults and young people who may find it easier to express themselves in writing rather than speaking.
According to the service's supporters, the need for such a service has been highlighted by the ongoing pressures on mental health services, especially during the pandemic and its aftermath. The text-based format removes barriers such as stigma, anxiety about speaking on the phone, or the practical difficulty of attending in-person appointments.
Impact and Reach
Since its launch in the West Midlands in March 2024, the service has seen a steady increase in usage, with peaks during evenings and weekends. Over the past year, it has handled 10,432 conversations, with an average of 28 conversations per day. The most common issues raised by texters include anxiety, depression, loneliness, and suicidal thoughts.
One user, who wished to remain anonymous, said: "I was in a really dark place and didn't feel I could talk to anyone. Being able to text someone who listened without judging was a lifeline. It gave me the strength to seek further help."
Partnership and Funding
The service is part of a broader investment in mental health services in the region. The NHS in the West Midlands has committed funding to ensure the service continues for at least another year, with the aim of reaching more people who might otherwise fall through the cracks. The service also works closely with local crisis teams and GP surgeries to ensure that texters who need more intensive support are signposted to the right services.
Dr. Sarah Johnson, a local GP and mental health lead, said: "We know that many people struggle to reach out for help, and a text service like this can be the first step on their journey to recovery. It's vital that we continue to invest in accessible, flexible support."
Future Plans
Looking ahead, the service plans to expand its volunteer base and increase awareness among communities that may be underserved, including minority ethnic groups and men, who are traditionally less likely to seek help. The team also hopes to integrate with other digital mental health tools to provide a seamless pathway for those in need.
For anyone in crisis, the message is clear: you are not alone, and help is just a text away. Text SHOUT to 85258 to speak to a trained volunteer, or call 999 or go to A&E if you are in immediate danger.



